howRU  and  howRwe  

Simple  generic  systems  to  measure  and  provide  feedback  on  pa;ent  outcome  and  experience  

 Based  on  presenta;on  to  NHS  Innova;on  Expo    

13  March  2013  Tim  Benson  

©  Rou;ne  Health  Outcomes  Ltd  2013  

howRU

The  Issue  

•  The  Commissioning  Board’s  responsibility  is  totally  focused  on  pa9ents,  on  outcomes  for  pa9ents,  on  pa9ent  sa9sfac9on  and    ...  value  for  the  pa9ent  – Malcolm  Grant  NHS  Commissioning  Board  28  Feb  2013  

•  We  need  bePer  performance  indicators  to  monitor  quality  and  value  as  well  as  money  

•  Without  immediate  feedback,  we  do  not  know  how  well  we  are  doing      

•  We  have  been  flying  blind  

What  we  all  want  

Feel  well   Do  what  we  want   Live  longer   Have  good  care  

howRU  

•  Generic  PROM  •  Summa;ve  howRU  score    

–  howRU  score  is  the  sum  of  the  4  responses  –  high  is  good    

•  7  year  development:  160  itera;ons  •  Validated  against  SF-­‐12*  and  EQ-­‐5D  •  howRU  Health  Tracker  

–  Approved  on  NHS  Apps  directory  and  IOS  App  store  

* Benson T et al. Evaluation of a new short generic measure of health status: howRu. Informatics in Primary Care 2010 18:89-101

howRwe  •  Generic  pa;ent  experience  measure  incorpora;ng  

–  NHS  Friends  and  Family  Test  –  four  ques;ons  about  specific  aspects  of  pa;ent  experience:    

•  Care  promptness,  Communica;on,  Compassion,  Organisa;on  competence  

•  Pa;ent  experience  Index  –  howRU  

•  Pa;ent  severity  index  •  Anonymous  

–  focus  is  on  quality  of  care  •  Real-­‐;me  feedback    

–  to  clinicians,  managers  and  others  •  Validated  in  >300  loca;ons  

Each  cross  represents  a  separate  loca;on.    Easy  to  iden;fy  outliers  and  then  drill  down.  

How  much  does  it  cost?  

•   No  charge  for  the  IP      •   Require  use  to  be  licensed    •   Modest  fees  for  sodware,  services  and  standard  feedback  reports  –   e.g.    £20  per  month  per  tablet  –   Volume  prices  on  applica;on  

Summary  •  howRU  and  howRwe  monitor  pa;ent  outcome  and  experience    

–  simple  –  generic  –  validated  

•  Feedback  at  every  level  –  pa;ents  –  clinicians  –  managers  –  commissioners  –  regulators    

Tim  Benson  Rou;ne  Health  Outcomes  Ltd  @;mbenson  ;m.benson@abies.co.uk  07855682037  or  01635  203162  www.howRwe.com